Top surgery without hormones?

[KarlMars]

I think maybe I can get top surgery without hormones. I'm no longer considered transgender medically and I had a hormone letter but I don't think its any good because it was in my male name and I've switched back to my female birthname. I don't know if medicaid would pay for top surgery especially since I put female on all my papers (which is my biological gender).

[Deb Roz]

I don't know the specifics, but my brother just got top surgery without having started hormones.  We're in CA, not sure if that makes a difference.  It is certainly worth inquiring with a local surgeon's office. 

[KarlMars]

I don't know the specifics, but my brother just got top surgery without having started hormones.  We're in CA, not sure if that makes a difference.  It is certainly worth inquiring with a local surgeon's office.

Is he openly presenting as male?

[Deb Roz]

Yes, and very glad to not be binding anymore.

[Alexthecat]

Plenty of people have gotten top surgery without hormones.

[FTMax]

You can definitely get top surgery without being on hormones. It is not a WPATH recommendation. I can't think of any surgeons who would outright say no.

However, you may have issues getting Medicaid to pay. You generally have to have both a doctor and a mental health practitioner attest to the medical necessity of these procedures to get coverage if you're paying with insurance. Paying out of pocket, you would definitely not have a problem doing it.

Do you want to be on hormones? The letter I would think is still good as long as you have a copy of your court order for your name change and could articulate to the doctor why you switched back and what your plans are going forward.

[FTMax]

Also, adding:

I know there is a Facebook group for folks on Medicaid or Medicare where people can discuss getting coverage for different procedures. I'm not in it but I am friends with one of the admins and would be happy to connect you to that group and/or him if you need to chat with someone.

[KarlMars]

Also, adding:

I know there is a Facebook group for folks on Medicaid or Medicare where people can discuss getting coverage for different procedures. I'm not in it but I am friends with one of the admins and would be happy to connect you to that group and/or him if you need to chat with someone.

Thanks for the info. Are they going to be accepting?

[FTMax]

Also, adding:

I know there is a Facebook group for folks on Medicaid or Medicare where people can discuss getting coverage for different procedures. I'm not in it but I am friends with one of the admins and would be happy to connect you to that group and/or him if you need to chat with someone.

Thanks for the info. Are they going to be accepting?

It's located here:

https://www.facebook.com/groups/523855204407544/

I'm personally not in the group so I can't say what kind of reaction general membership would have to what you're asking. I don't think any of the admins would care.

[CursedFireDean]

I have a good friend recently get surgery, they're not on hormones and ID as non-binary and are definitely not presenting male (though they do lean masculine).  It's absolutely possible! I don't know much about Medicaid, so I hope that facebook group can help out on that front!